Willard House and Clock Museum

Membership Form

__ Robinson Society (Life Membership)* $10,000
__ Simon Willard Society* $5,000
__ Aaron Willard Society* $1,000
__ Benjamin Willard Society* $500
__ Ephraim Willard Society $250
__ Journeyman $100
__ Apprentice $55
__ Family $40
__ Individual $25
__ Corporate Sponsor - Please send information
$100 +
Please print, complete & mail this form (or send information on separate paper):

Willard House and Clock Museum
11 Willard Street
North Grafton, MA 01536-2011

Name: __________________________________________________

Address: _________________________________________________

City: _____________________________________________________

State: ______________________________________ ZIP: _________

Telephone: ______________________________________________

Make checks payable to Willard House and Clock Museum.
We also accept Discover, Master Card, and VISA.
[Please add $5 for international memberships.]

Indicate CC: ______________ Exp. Date ________________________

Card Number : _____________________________________________

Signature: ___________________________________________

Back to Membership Drive Page  -  Back to Home Page

  

The right to download and store or output the articles and pictures in this web site is granted to users for their personal use only. Any other reproduction, by any means - mechanical or electronic - without the express written permission of the Willard House and Clock Museum is strictly prohibited.

Copyright © 2001-2005 Willard House and Clock Museum. All rights reserved.

Send comments on this web site to webmaster@willardhouse.org

This web site maintained by Ron Price.